Investing in early child development: an imperative for sustainable development.

Developmental potential is the ability to think, learn, remember, relate, and articulate ideas appropriate to age and level of maturity, and an estimated 39 percent of the world’s children under age five years do not attain this potential (Grantham-McGregor and others 2007).The main reason for giving prominent attention to mental development from conception through the first 24 months of life is that early unfavorable conditions can impair the normal development of the brain. The impairment is often incremental and unnoticed until schooling begins. The most striking example of impairment is the gradual deletion of unused brain synapses. The lack of use may be due to the absence of stimulation in the family environment or lack of available energy for brain activity. Regenerating those lost synapses may occur at an older age but with additional costs. For example, children who do not acquire a good vocabulary in the early years will have difficulty learning how to read; children who do not acquire simple problem-solving strategies in the first 24 months will have difficulty understanding math concepts; children who do not develop secure emotional attachments to adults will have difficulty coping with stresses and challenges throughout life. The plasticity of the brain diminishes with age, but greater plasticity in the very early years suggests that brain development has a greater chance of being modified by protective interventions than by interventions later in life (Werker and Hensch 2015).A second reason for attending to early mental development is that individuals, communities, and societies are healthier and more productive if they have mature mental skills. More educated adults are healthier and wealthier than less educated adults. Educated mothers have healthier children and are more likely to recognize symptoms of illness, follow medical advice, feed their children nutritious foods, and keep their homes clean (Boyle and others 2006; Cleland and van Ginneken 1988). Educated husbands are less likely to condone or use violence to resolve domestic conflicts (Abraham and others 2006). Follow-up data of adults who participated in early psychosocial stimulation programs demonstrate some of these long-term benefits (Gertler and others 2014).This chapter discusses mental development from birth to age 24 months in low- and middle-income countries (LMICs). We include recent literature published since the 2011 child development series in The Lancet. Although we focus on cognitive and language domains, we touch on socioemotional, fine motor, and gross motor development. First, a description of how these domains are measured provides an operational definition of the term mental development. Second, conditions that derail early child development are examined. These conditions arise during the prenatal period and continue throughout the next 24 months; they include psychosocial stimulation, prenatal and postnatal nutrition, the physical environment, and maternal mental health. Finally, the results of several systematic reviews and meta-analyses are presented to show the effects of stimulation and nutrition, along with disease-related interventions to promote mental development. Maternal interventions related to nutrition and mental health are also reviewed. A framework of critical components to include in programs is outlined.

Effects of the Global Coronavirus Disease-2019 Pandemic on Early Childhood Development: Short- and Long-Term Risks and Mitigating Program and Policy Actions

Data for action on early childhood development

Patrice Lee Engle

Canadian progress in early child development – putting science into action

Introduction: The percentage of the Palestinian children considered “below level” – or “not on track” in their early childhood development is higher than their peers in neighbouring countries. This research presents a framework to explain pathways between water stress, child health, family wealth, parental support, and early childhood development in Palestine, and presents a different perspective in water stress and policies and services addressing children. Objective: To assess evidence of the link between water stress and vulnerability in early childhood development and to examine the implications of this relationship for services and policies in Palestine. Method and Results: Demographic and health data obtained from nationally representative surveys were merged and analysed. Descriptive analysis was used to investigate the features of household water stress and show its association with risk for delayed early childhood development in Palestine. Data on social, economic, health, and environmental conditions in 52 communities in Palestine were aggregated to develop a Child-Water Stress Index to be used as a single summary measure that captures the multidimensional influence of water stress. At the household level, a Mediation Model was developed and applied to investigate the pathways through which water stress interacts with child health, family care, and wealth level and in turn, influences early childhood development. An evaluation strategy is presented, with new perspectives for enhancing the effectiveness of early childhood programmes and policies in the Palestinian context. Qualitative data using focus group discussions with parents and semi structured interviews with practitioners were conducted to provide in depth analysis of the findings. Conclusion: Children experiencing water stress are more likely to not be on track in their early childhood development. Water stress is more likely to influence childhood development through indirect pathways by interacting with determinants of optimal early childhood development including disrupted family support, wealth level, and child health. Water stress exacerbates the impact of limited wealth and inadequate family support on early childhood health and development, suggesting the need for a holistic perspective in evaluating services and policies.

BackgroundThe social environment is a fundamental determinant of early child development and, in turn, early child development is a determinant of health, well-being, and learning skills across the life course. Redistributive policies aimed at reducing social inequalities, such as a welfare state and labour market policies, have shown a positive association with selected health indicators. In this study, we investigated the influence of redistributive policies specifically on the social environment of early child development in five countries with different political traditions. The objective of this analysis was to highlight similarities and differences in social and health services between the countries and their associations with other health outcomes that can inform better global early child development policies and improve early child health and development.MethodsFour social determinants of early child development were selected to provide a cross-section of key time periods in a child’s life from prenatal to kindergarten. They included: 1) prenatal care, 2) maternal leave, 3) child health care, and 4) child care and early childhood education. We searched international databases and reports (e.g. Organization for Economic Cooperation and Development, World Bank, and UNICEF) to obtain information about early child development policies, services and outcomes.ResultsAlthough a comparative analysis cannot claim causation, our analysis suggests that redistributive policies aimed at reducing social inequalities are associated with a positive influence on the social determinants of early child development. Generous redistributive policies are associated with a higher maternal leave allowance and pay and more preventive child healthcare visits. A decreasing trend in infant mortality, low birth weight rate, and under five mortality rate were observed with an increase in redistributive policies. No clear influence of redistributive policies was observed on breastfeeding and immunization rates. In the analysis of child care and early education, the lack of uniform measures of early child development outcomes was apparent.ConclusionsThis paper provides further support for an association between redistributive policies and early child health and development outcomes, along with the organization of early child health and development services.

Using spatial analysis of the Australian Early Development Index to advance our understanding of 'neighbourhood effects' research on child health and development.

Background: Maternal prenatal anxiety is among important public health issues as it may affect child development. However, there are not enough studies to examine the impact of a mother's anxiety on the child's early development, especially up to one year. Objective: The present prospective cohort study aimed to examine whether maternal trait anxiety, perceived social support, and COVID-19 related fear impacted speech-language, sensory-motor, and socio-emotional development in 12 months old Serbian infants during the COVID-19 pandemic. Methods: This follow-up study included 142 pregnant women (Time 1) and their children at 12 months (Time 2). Antenatal maternal anxiety and children's development were examined. Maternal anxiety was assessed using the State-Trait Anxiety Inventory (STAI). Child speech-language, sensory-motor, and socio-emotional development were assessed using the developmental scale in the form of an online questionnaire that examined the early psychophysiological child development. Information on socioeconomic factors, child and maternal demographics, clinical factors, and perceived fear of COVID-19 viral infection were collected. Multivariable General Linear Model analysis was conducted, adjusted for demographic, clinical, and coronavirus prenatal experiences, maternal prenatal anxiety levels, perceived social support, speech-language, motor skills, and cognitive and socio-emotional development at the infants' age of 12 months. Results: The study revealed the influence of the COVID-19 pandemic on maternal trait anxiety. The association between selected independent factors and infants’ development was found in a demographically unified sample except for employment and the number of children. There was a correlation between all observed developmental functions. Univariate General Linear model statistical analysis indicated that linear models with selected independent factors and covariates could account for 30.9% (Cognition) up to 40.6% (Speech-language) of variability in developmental functions. It turned out that two-way and three-way interactions had a dominant role on models, and STAI-T Level and COVID-19 related fear were present in all interaction terms. Conclusion: Our findings reveal important determinants of child developmental outcomes and underline the impact of maternal anxiety on early child development. These findings lay the groundwork for the following interdisciplinary research on pregnancy and child development to facilitate and achieve positive developmental outcomes and maternal mental health.

Investing in children in their early years represents a unique window of opportunity to improve individual, community, and societal outcomes. For poverty reduction and shared prosperity, investments in early childhood development (ECD) or early childhood education and development (ECED), are among the best investments that countries can make. This study provides an assessment of ECD policies and programs in Indonesia based on the World Bank’s Systems Approach for Better Education Results (SABER). Developed by the education global practice, SABER provides a set of diagnostic tools to assess country policies in a number of areas including ECD. The SABER-ECD tool employs a diagnostic framework structured around three policy goals: establishing an enabling environment, implementing widely, and monitoring and assuring quality. For each goal, three policy levers are analyzed, ranging from the legal framework for ECD services to the extent to which service providers such as care centers or preschools comply with national standards. The SABER-ECD tool to a large extent focuses on policy intent, but as its name indicates, the second policy goal in the ECD module is about implementation. The study relies on administrative and household survey data in order to provide a diagnostic of policies and programs related to ECD in Indonesia. Administrative data are used to assess ECD policies and programs at the national and district levels. The study consists of five chapters: chapter one gives overview. Chapter two applies the SABER-ECD framework at the national level. Chapter three focuses on measuring in a more comprehensive way the coverage of essential ECD interventions nationally and at the provincial level. Chapter four provides results from the application of the SABER-ECD framework to five districts. Chapter five compares the SABER-ECD ratings obtained for Indonesia with the ratings for other countries (in total, the tool has been implemented in about 28 countries so far).

Children's early development is a key component that affects their wellbeing and health as they age. In recent times, scholars' interest in Early Childhood Education (ECE) and Early Child Development (ECD) has grown exponentially. However, rural-urban differentials in early childhood development in sub-Saharan Africa (SSA) and particularly in Ghana are unknown. This study examined the rural-urban differentials in Early Childhood Education (ECE) and Early Child Development (ECD) in Ghana. We used cross-sectional data from 2017/2018 Multiple Indicator Cluster Survey (MICS) by the Ghana Statistical Service. We restricted the data to children aged 3 and 4 years. A sample size of 3683 children was used in this study. Poisson regression analysis was used to examine the relationship between Early Childhood Education (ECE) and Early Child Development (ECD) in rural and urban Ghana. Both ECE and ECD scores were higher in the urban areas than in the rural areas. The regression shows the rural-urban disparity in ECD by ECE. The Preschool Program (ECE) has a good impact on children's early development in Ghana. However, the Relative Risk Ratio (RRR) in rural areas was higher than in urban areas. Beyond this, other factors such as age of child, ecological zone, maternal education and wealth index were associated with ECD. Our findings show a significant disparity in Early Childhood Education and Childhood Development in rural and urban areas This study therefore recommends that more resources be channeled in rural areas to help improve ECE and ECD while policies should be tailored to Early Childhood Education.

Research Findings: The home-based Early Head Start program in this local study aimed to promote children's early attachment and cognitive development by establishing supportive relationships with parents and guiding responsive parenting and positive parent–child play interactions. To test the effectiveness of this approach, we studied the development of secure base behavior and cognitive skills in infants and toddlers from low-income families in northern Utah and southern Idaho who had been randomly assigned to the program or a comparison group. Analyses covaried the main risk factors of low maternal education (associated with the children's lower cognitive scores) and maternal depression (associated with both lower cognitive scores and lower attachment security scores). Significant impacts of this Early Head Start program over and above earlier assessments and risk variables were evident by 18 months in children's attachment security scores and by 36 months in children's cognitive standard scores. Practice or Policy: The results of this study support the effectiveness of focusing on parenting to support children's early development. Home-visiting programs such as this one can keep children's early development on track by providing parenting-focused home visits that help parents support their children's early development.

Association between water supply and early childhood development in Palestine: a descriptive analysis of demographic and health survey data

The need for stimulation or efforts to stimulate children to introduce new knowledge or skills is very important in improving children's intelligence. Stimulation in children can be started since the baby is a fetus, because the fetus is not a passive creature. In the womb, the fetus is able to breathe, kick, stretch, move, swallow, suck the thumb, and others. While the main stimulation is given specifically for children aged 0-7 years (Siswono, 2004). PAUD teacher's understanding and awareness of the importance and influence of parental education on child development vary. Many do not understand the characteristics of early childhood development, stimulation, and implementation of early detection of early childhood growth and development. Asih Waluyo Jati Clinic is a Pratama clinic that has a program about child development. With community service at the Asih Waluyo Jati Primary Clinic, it is expected that the knowledge and understanding of PAUD teachers on the characteristics of growth and development, simulation, and implementation of early detection of early childhood growth and development can be increased. The activity was carried out at the Pratama Asih Waluyo Jati Clinic on Sunday, October 8, 2017, at 09.00 to 15.00 with material about problems of child growth and development in Indonesia, the importance of monitoring children's growth and development, the participation of teachers and parents in child development, how to detect children's growth and how to detect a child's development. The methods used in this activity include lectures, questions and answers, and role-play. Most of the participants understood what early detection and stimulation of children's growth and development were. But about the types and ways of early detection that must be done many do not understand. The participant's lack of understanding about the types and methods of early detection of children when training has not been conducted is likely because since they have never attended training and there has been no socialization from the education office related to monitoring child development. After being given the material, the participants understood that the types of early detection were detection of growth, development, and mental-emotional. Stimulation is very important as a form of intervention so that the child's growth and development can take place optimally.Keywords: early childhood, stimulation, early detection, growth, development

This project examines early childhood development in light of other key social determinants of health. A literature review of secondary sources shows that the social determinants of health are interrelated, and are shaped by broader social and local spheres—family, place of residence, and workplace. Of the fourteen social determinants of health, early child development is crucial because it influences adult health and involves irreversible changes, such as those brought about by mental or physical damage to the fetus, and the development of mental capacity by age two. Moreover, early child development is distinguished from other social determinants of health as it holds greater promise for change. While eradicating poverty at any life stage is difficult, minimizing the effects of poverty may be easiest during early childhood. This is because children interact with both the broader social and the local family spheres, allowing them to engage in other positive environments, even if their own parents are victims of poverty. Thus, health policy should prioritize early child development because it may contribute to ending the cycle of poverty.